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. 2024 May 29;16:72. doi: 10.1186/s13148-024-01682-2

Table 1.

Lactylation modification of target genes and the mechanism in diseases

Disease type Site of modification/enzyme Study type Target gene Mechanism References
Inflammation Histone pan lysine lactylation Bone marrow-derived macrophages from mice model Arg1, Klf4 BCAP promotes reparative macrophage transition through histone lactylation [59]
Septic shock H3K18 The PBMC of healthy volunteers and critically ill patients Arg1 High H3K18la expression showed higher IL-2, IL-5, IL-6, IL-8, IL-10, IL-17, IFN-α levels [61]
Sepsis Histone pan lysine lactylation/p300/CBP RAW 264.7 cells HMGB1 The lactylated/acetylated HMGB1 was released from macrophages via exosome secretion which increases endothelium permeability [32]
Ocular melanoma H3K18/p300 Tissues and ocular melanoma cells YTHDF2 The upregulated YTHDF2 by H3K18 lactylation and promoted oncogenesis through inhibition of TP53 and PER1 [68]
Non-small cell lung cancer H4K8 BEAS-2B, A549, and H1299 cells HK-1, IDH3G Glycolytic enzymes (HK-1, PKM) and TCA cycle enzymes (SDHA, IDH3G) were, respectively, downregulated and upregulated by lactate, and increased histone lactylation in promoters of HK-1 and IDH3G [71]
Tumor-infiltrating myeloid cells (TIMs) H3K18 Murine bone marrow-derived macrophages METTL3 Lactate accumulated in tumor microenvironment induced METTL3 upregulation in TIMs via H3K18 lactylation [31]
Hepatocellular carcinoma (HCC) K348/SIRT3 HuH7 cells CCNE2 SIRT3 delactylated CCNE2 K348la and promoted HCC cell apoptosis and prevented HCC outgrowth in vivo [74]
Hepatocellular carcinoma (HCC)

K28 (AK2),

K413 (IDH2)

Patients’ tissues of hepatitis B virus-related HCC AK2, IDH2 Lactylation at K28 inhibits the function of AK2, facilitating the proliferation and metastasis of HCC cells [75]
Alzheimer’s disease (AD) H4K12 Prefrontal cortex and hippocampus of mice and AD patients HIF-1α, PKM, LDHA The glycolysis/H4K12la/PKM2-positive feedback loop exacerbates microglial dysfunction in AD [82]
Myocardial infarction H3K18 Monocyte–macrophages LRG1, VEGFA, IL-10 Histone lactylation facilitated transcription of LRG1, VEGFA, and IL-1, which favored a reparative environment through their anti-inflammatory and proangiogenic activities [64]